Reproductive and Child Health Programme
The aim is to bring about attitudinal changes in health and well-being, as well as imparting practical information concerning all aspects of Reproductive and Child Health. WEIV staff mobilise the community to access Government programs and are on the ground to ensure that Government delivers these programs.
The Reproductive Health programme addresses contraceptive awareness, pre-natal guidance, maternal health and well-being. The programme aims to empower young, married couples to delay and space their pregnancies, to equip unmarried adolescents with appropriate information regarding sexual health and marriageable age, and to bring about improved action, demand and access to reproductive health services.
Baseline Survey (BLS)
During 2015, WEIV conducted a Baseline Survey designed to gain a comprehensive understanding of the Reproductive and Child Health status of the women and children in the target area (Guraru block) and enable WEIV to appropriately tailor the health program for each target group.
The survey covered a total of approximately 4,000 households. The questionnaire was completed using digital tablets, two staff members per tablet. This has allowed for quick and efficient feeding of results, enabling staff to collate and interpret the information received.
A random sampling was subsequently made of 30% of the target group in each category. Target groups are: Adolescent girls, Adolescent boys, Pregnant women, Young married couples with baby under 12 months, Married couples with children 12 to 24 months and Menopausal women.
Family Planning, Ante Natal Care, Delivery, Immunisation, Reproductive Tract Infections, Adolescent Health, Quality of Care for newborn and mothers, Functioning of Anganwadi (mother/child support centres).
Project Location: Selected 10 panchayats of Guraru block of Gaya district
* To increase the percentage of safe delivery by 25% in the next three years from now.
* To decrease the percentage of girls marrying before attaining 18 years of age from 20% over the period of next three years.
* To increase the full ANC coverage and complete immunisation coverage by 40% over the period of next three years.
* To make the communities aware of their health related entitlements and empower them to monitor health services
* To enable the socially excluded communities and community-based organisations to become equal partners in the planning process and also to increase the communities’ sense of involvement and participation in order to improve responsive functioning of the public health system
* To do advocacy for qualitative service delivery in the area.
* To provide regular and systematic information about community needs, which will be used to guide the planning and implementation process effectively
In order to achieve the above mentioned objectives, community action would be the major strategies of the programme as community action is the only guarantee for right to health care - putting community pressure on health system.
Communities suffer denial of healthcare in many ways – human power (doctor, nurse) not available, medicines not available; referred outside for investigations; non availability of essential equipment/infrastructure; no transport facility available for referring the patient etc.
Community action involving Panchayati Raj Institutions, Community based organisations, NGOs, etc. can create a more accountable public and private health care system. Community action would also organise people to demand quality health services. Community health action processes will build a partnership among the community members (including SHGs, CBOs & local NGOs), health system and local PRI system to strengthen and improve the health outcomes of the area.
* Community members especially those belonging to socially excluded communities would be sensitised towards their entitlements and health rights
* The socially excluded communities would be made aware about the benefits of institutional delivery, benefit provided through different schemes like Janani Evam Bal Suraksha Yojana, preventive measures from communicable diseases, availability of untied fund with Panchayat.
* The cases like non-availability of ANM in centre, non-availability of medicine, information about JBSY, Nutritional days and health behaviour of people are getting noticed by the community as well as health personnel that can be transformed in reality.
* Health services would become gradually community centred and quality of services would be improved
* Participation of socially excluded groups especially of Dalit & muslim women would be improved.
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